The health care provider has a direct impact on the satisfaction of our members and the quality of our health benefit plans. One of our stated corporate goals is "to establish and maintain long-lasting, mutually beneficial relationships with health care providers." The provider networks operated by Blue Cross and Blue Shield of Oklahoma (BCBSOK) form the foundation of this relationship.
ASO clients are employer groups who contract with Blue Cross and Blue Shield of Oklahoma for claims processing services, provider network access, clerical services or other administrative responsibilities that area part of an employer group health benefit plan.
There are eight provider networks:
More than 10,000 health care providers representing a wide variety of specialties participate in the BlueTraditional network. Almost every acute care facility in the state participates in the BlueTraditional Network.
Established January 1, 2014, the Blue Advantage PPO network is a cost-effective provider network designed to meet the health care needs of the currently uninsured and underinsured population. BCBSOK's long-standing history in providing affordable health care coverage to the people of Oklahoma makes Blue Advantage PPO an excellent choice for members seeking new cost-effective health care coverage through the health insurance market place.
You maximize your Blue Cross Medicare AdvantageSM benefits by using providers in our extensive network. You'll find doctors from a wide range of specialties from primary care to cardiology, urology, rheumatology and more.
Blue Plan65 Select is a Medicare PPO network which offers eligible enrollees in select areas the Medicare supplemental benefits of standard Plan F with the cost-savings of a preferred provider organization.
The Oklahoma Caring Foundation, Inc., and its Caring Program for Children were created in 1995 by BCBSOK to provide access to preventive and primary outpatient health care services to eligible uninsured children. BCBSOK absorbs all administrative costs and matches the first $100,000 donated each year.
The success of the Caring Program for Children depends on community contributions and the participation of health care providers. Health care providers agree to provide limited benefits to program recipients for 60% of the BCBSOK BlueTraditional reimbursement rates. BlueTraditional health care providers are offered the opportunity to participate in this vital program.
BlueLincs HMO is fully licensed by the Oklahoma Insurance Department as a health maintenance organization. BlueLincs HMO is currently accredited by Utilization Review Accreditation Corporation. View the BlueLincs HMO service area map .
The BlueLincs network includes a combination of over 1,000 physicians and health care professionals and more than 30 hospitals. The network is available to members in both urban and rural areas of the state. The entire service area of this network includes 44 counties throughout the state.